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Agenda and minutes

Venue: Committee Room 4, Town Hall, Upper Street, N1 2UD. View directions

Contact: Peter Moore  020 7527 3252

No. Item




The Chair introduced those present at the meeting


Apologies for Absence


Bob Dowd - Healthwatch


Declaration of Substitute Members




Declarations of Interest

If you have a Disclosable Pecuniary Interest* in an item of business:

§  if it is not yet on the council’s register, you must declare both the existence and details of it at the start of the meeting or when it becomes apparent;

§  you may choose to declare a Disclosable Pecuniary Interest that is already in the register in the interests of openness and transparency. 

In both the above cases, you must leave the room without participating in discussion of the item.

If you have a personal interest in an item of business and you intend to speak or vote on the item you must declare both the existence and details of it at the start of the meeting or when it becomes apparent but you may participate in the discussion and vote on the item.


*(a)Employment, etc - Any employment, office, trade, profession or vocation carried on for profit or gain.

 (b)Sponsorship - Any payment or other financial benefit in respect of your expenses in carrying out

  duties as a member, or of your election; including from a trade union.

 (c)Contracts - Any current contract for goods, services or works, between you or your partner (or a body

 in which one of you has a beneficial interest) and the council.

 (d)Land - Any beneficial interest in land which is within the council’s area.

 (e)Licences- Any licence to occupy land in the council’s area for a month or longer.

 (f)Corporate tenancies - Any tenancy between the council and a body in which you or your partner have

  a beneficial interest.

 (g)Securities - Any beneficial interest in securities of a body which has a place of business or land in the council’s area, if the total nominal value of the securities exceeds £25,000 or one hundredth of the total issued share capital of that body or of any one class of its issued share capital. 


This applies to all members present at the meeting.





Order of business


The Chair stated that the order of business would be as per the agenda


Confirmation of minutes of the previous meeting pdf icon PDF 144 KB



That the minutes of the meeting of the Committee held on 6 July 2017 be confirmed and the Chair be authorised to sign them


Chair's Report

The Chair will update the Committee on recent events.


The Chair informed the Committee that Olav Ernstzen, the substitute co-opted Member of the Committee for Healthwatch had resigned and was being replaced by Janna Witt. The Committee wished to place on record their appreciation for the work done by Olav in the past.



That Janna Witt be appointed substitute Member on the Committee for Healthwatch for the remainder of the municipal year or until her successor in office is appointed


The Chair also referred to the discussion at a previous meeting in relation to the Government’s pharmacy proposals and that a response had been sent to the consultation proposals. Whilst no pharmacies had closed at present it was anticipated that the proposals would lead to closures in the future and have a detrimental effect on the local economy


Public Questions


The Chair outlined the procedure for Public questions


Health and Wellbeing Board Update


Councillor Janet Burgess, Executive Member Health and Social Care, was present at the meeting and updated the Committee.


During discussion the following main points were made –


·         A more detailed report will be submitted to the next meeting of the Committee

·         It was noted that the Haringey and Islington Board had now merged and was working well













The Chair thanked Councillor Burgess for attending


NHS Whittington Trust - Performance update/Estates Strategy pdf icon PDF 2 MB


Siobhan Harrington, and Carol Gillen, Whittington Hospital was present for discussion of this item and made a presentation to the Committee, copy interleaved.


During discussion the following main points were made –

·         The Trust’s score of 3.83 is above the national average of 3.8 and a local improvement from 3.79 in 2015 on the staff engagement indicator and is an improvement on last year

·         However, for the first time the percentage of staff experiencing harassment, bullying or abuse from service users has been highlighted as a cause for concern and this will require specific attention later in the year

·         With regard to the CQC a formal inspection of Whittington Health NHS Trust between 8-11 December 2015, with further unannounced inspections taking place on 14,15 and 17 December and the findings published in July 2016 gave a Good rating overall and Outstanding for Caring

·         The Trust met all its last year targets except – 75% of staff who work in Emergency Department to have specific training in the care of patients with Learning Disabilities. The Trust is working towards this target – the Trust needs to reduce its in patient falls that result in severe/moderate harm by 25%. This target has not been met however a new ‘falls bundle’ was introduced which provides more comprehensive risk assessments and care plans for our patients. Selected as one of only 20 Trusts to participate in the NHSi falls collaborative – no avoidable grade four pressure ulcers target not met as despite zero in the acute setting there were five in the community. This is being targeted for 2017/18

·         The Sepsis target was achieved over the target ED96 against 90% and has been an important safety initiative and success for Whittington Health

·         The Trust has set targets re: patient experience and these priorities were determined through triangulation of information from complaints, local and national surveys, including Family and Friends Test, and the very useful feedback from service users via the engagement and workshop event with Islington Healthwatch

·         The Committee noted the Quarter 1 performance data as outlined in the presentation

·         Key priorities are – urgent and emergency care admitted pathway – discharge to assess, reducing DTOCS – improving mental health pathway in ED – Islington and Haringey Wellbeing Partnership and Community Services alignment with CHINS – Winter resilience – workforce – staff engagement and morale – community engagement and delivering the estates strategy

·         The Panel noted that funding had been obtained for a mental health recovery room

·         Workforce recruitment and retention is crucial and this would be a priority for the Trust

·         The Estates strategy was an exciting development for the Trust and a final decision would be taken by the Trust Board in October and a potential partner had been identified. Community engagement would take place on the proposals

·         It was stated that Whittington were committed to the NHS and private health provision would be minimal if at all

·         The Trust stated that the new strategy would involve the creation of a new  ...  view the full minutes text for item 38.


Healthwatch Annual report pdf icon PDF 263 KB

Additional documents:


Emma Whitby and Janna Witt, Healthwatch, were present for discussion of this item.


During discussion the following main points were made –


·         Achievements included autism and reasonable adjustments, social workers phones, developed a consultation consortia and now developing its scope, better links with care homes and allocated GP’s, better information for podiatry patients, volunteering award

·         Current and future work includes mystery shopping for autism friendliness, increasing diversity for the Islington Patient Group, Supporting Community mental health services engagement, considering social isolation, influencing ADHD assessment and safeguarding sharing of information

·         Behind the scenes achievements include investing in volunteers, strengthening links with London Met and Training Parent champions

·         Reference was made to difficulties in clients accessing accurate podiatty information and that Healthwatch is in discussions with Whittington NHS Trust in this regard

·         Work is taking place to look at how current services can be used to tackle social isolation

·         Healthwatch would be actively engaged in the Whittington Estates strategy consultation

·         Work ís being undertaken with Clare Henderson where additional resources and use of the voluntary sector could be used to achieve better outcomes for residents

·         In response to a question it was stated that care home had a dedicated GP who visited the home on a set day per wee





The Chair thanked Emma Whitby and Janna Witt for attending


Performance Update pdf icon PDF 228 KB


Councillor Janet Burgess, Executive Member Health and Social Care was present for discussion of this item.


Julie Billett, Director of Public Health, was also present.


During consideration of the report the following main points were made –


·         Delayed discharge figures were quite good however figures for MMR were below target due to the reluctance of parents to allow children to be vaccinated

·         Discussion took place as to alcohol reduction and that this is on target and Public Health often commented on licensing applications







That the report be noted






The Chair thanked Councillor Burgess and Julie Billett for attending


New Scrutiny topic - Air Quality and Health - Presentation and Approval of SID pdf icon PDF 92 KB

Additional documents:


Julie Billett, Director of Public Health, Ian Sandford, Public Health Strategist, and Paul Clift, Environment and Regeneration Department were present for discussion of this item and made a presentation to the Committee, a copy of which is interleaved.


During consideration of the presentation and SID the following main points were made –


·         Air Pollution is a gas (or a liquid or solid dispersed through ordinary air) released in a big enough quantity to harm the health of people or other animals, kill plants or stop them growing properly, damage or disrupt some other aspect of the environment or cause some other kind of nuisance. It is the quantity or concentration of the chemicals in the air that makes the difference between harmless and polluted air

·         Particulates are sooty deposits in air that blacken buildings and cause breathing difficulties. In London, most particulates come from traffic fumes, brake and tyre wear and increasingly wood burning. Most worrying are the fine PM 2.5 and ultrafine PM1 particulate matter as these can enter deep into the lungs and into the bloodstream. Particulates of different sizes are referred to by the letters PM followed by a number so PM10 means particles of less than 10 microns – less than 10/1000ths. Of a millimetre

·         South of the Borough is the most pollute, 60% of the borough is over EU limits and every school is near an area of high pollution

·         Another major source of pollutants are nitrogen oxides N0x and both nitrogen oxide and nitrogen dioxide are gas pollutants, made as a result of burning when nitrogen and oxygen react together. They are harmful to health and a big source of N0x is from vehicle engines

·         At ground level, ozone is a toxic pollutant that can damage health. It forms when sunlight strikes a cocktail of other pollution and is a key ingredient of smog

·         Islington NOx emissions by source type are – major roads 43%, minor roads 6%, domestic gas 13%, commercial gas 17%, NRMM 2%, Industry 1%, and other 18%

·         Further from the Environment and Regeneration Scrutiny into Air Quality in 2014 the Council has been and is active in work to improve air quality. Further measures are challenging as many sources of pollution are from outside Islington or traffic passing through

·         Further measures are needed in order to reduce air pollution and the Council need to work with other boroughs, TfL, and the GLA to improve air quality and the Council still needs to further improve how different departments and teams work together to improve air quality

·         Poor air quality impacts from early life – before birth high levels of PM2.5 are associated with low birth weight and children are particularly at risk due to immaturity of their respiratory organ systems. Infants have a high metabolic rate, so they breathe a greater volume of air per minute than an adult relative to their size

·         Infants are also within greater proximity to air pollution sources – vehicle exhausts and research into early exposure  ...  view the full minutes text for item 41.